File:Diseases of the nervous system - a text-book of neurology and psychiatry (1915) (14782343332).jpg

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Identifier: diseasesofnervo00jell (find matches)
Title: Diseases of the nervous system : a text-book of neurology and psychiatry
Year: 1915 (1910s)
Authors: Jelliffe, Smith Ely, 1866-1945 White, William A. (William Alanson), 1870-1937
Subjects: Mental Disorders Nervous System Diseases
Publisher: Philadelphia : Lea & Febiger
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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Peroneus longus Peroneus tertiubExt. bvev. digit. Abductor minim i 11/digiti Fig. 15.—Radicular (R) (to left) and peripheral (P) (to right) innervations of themuscles of the external side of the lower extremity. Letters and abbreviations as inpreceding figures. (After Dejerine.) REFLEXES OF THE LOWER EXTREMITIES 51 Reflexes of the Lower Extremities.—The knee-jerk (Erb-Westphalssign) is one of the most famihar. The knee-jerk may be tested in a Pyramidalis N. S. ObturatorInternus S.P.-Isohionoccygeus^Genital Pleaius Jiecium and Anus Cf.F^ Hemorrhoidal-pl. G.P- VaginaG.P. Obturator. CrvralLumbar plexus
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L ii )5,S1(2) Oljt-iirator int.PyramidalisIschiococcygeusLevator ani S3-i .jSphincter aniS3-i Ibchio-cavemosiis i „.,Bulbo-cavernosus ) Gluteus maximusAdductor magnusAdductor longus Semi tendinosus~~Seini membranosus -Biceps L(i)5,si~~ Gracilis ^-Gastrocnemius Soleus ■Flex. long. dig. L5, Sl-2 Tibialis posticus Lo, Sl(2) Flex. long, hall-Lo, Sl-2 Fig. 16.—Radicular (R) (to right) and peripheral (P) (to left) innervations of themuscles of the internal side of the lower extremities. (After Dejerine.) G.P., genitalplexus. variety of ways. One of the best is to have the patient sit upon atable, which permits the limbs to hang freely, then telling him to look 52 METHODS OF NEUROLOGICAL EXAMINATION at the ceiling, or diverting his attention, the tendon just below thepatellar is tapped or the patient is directed to cross his leg on the knee.Exaggerated, active, normal, sluggish, or absent responses should berecorded. Another method is to have the patient sitting, and the feetupon the f

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